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Individual

PETER G JANU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
618 MEMORIAL DR, CHILTON, WI 53014-1568
(920) 849-3823
Mailing address
618 MEMORIAL DR, CHILTON, WI 53014-1568
(920) 849-3823

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
41006
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32552000
WI
Enumeration date
09/12/2005
Last updated
09/02/2008
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